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Louisiana rates for HCPCS J1557

Injection, immune globulin, (Gammaplex), intravenous, nonlyophilized (e.g., liquid), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.47 / $65.59 / $138.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.47 / $64.31 / $75.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.66 / $42.64 / $63.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.23 / $63.23 / $64.48
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.08 / $60.08 / $63.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.68 / $63.68 / $63.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.68 / $63.68 / $85.70